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Prediction of S-1 adjuvant chemotherapy benefit in Stage II/III gastric cancer treatment based on comprehensive gene expression analysis

Background Studies to identify predictive biomarkers of adjuvant chemotherapy with S-1 after gastrectomy in Stage II/III gastric cancer patients have been done; however, more clarity and understanding are needed. Our aim in the present study was to identify biomarkers predicting benefit due to S-1 a...

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Published in:Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association 2020-07, Vol.23 (4), p.648-658
Main Authors: Nakamura, Kenichi, Hatakeyama, Keiichi, Furukawa, Kenichiro, Fujiya, Keiichi, Kamiya, Satoshi, Hikage, Makoto, Tanizawa, Yutaka, Bando, Etsuro, Ohshima, Keiichi, Urakami, Kenichi, Machida, Nozomu, Yasui, Hirofumi, Yamaguchi, Ken, Terashima, Masanori
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container_title Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association
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creator Nakamura, Kenichi
Hatakeyama, Keiichi
Furukawa, Kenichiro
Fujiya, Keiichi
Kamiya, Satoshi
Hikage, Makoto
Tanizawa, Yutaka
Bando, Etsuro
Ohshima, Keiichi
Urakami, Kenichi
Machida, Nozomu
Yasui, Hirofumi
Yamaguchi, Ken
Terashima, Masanori
description Background Studies to identify predictive biomarkers of adjuvant chemotherapy with S-1 after gastrectomy in Stage II/III gastric cancer patients have been done; however, more clarity and understanding are needed. Our aim in the present study was to identify biomarkers predicting benefit due to S-1 adjuvant chemotherapy using comprehensive gene expression analysis. Methods We retrospectively analyzed 102 patients receiving adjuvant chemotherapy with S-1 and 46 patients not receiving S-1 adjuvant chemotherapy after gastrectomy for gastric cancer treatment between January 2014 and December 2016. Hierarchical clustering analysis was performed based on the gene expression data obtained using cDNA microarray. Differentially expressed genes (DEGs) were identified using thresholds of absolute fold changes of > 4.0 and a false discovery rate P value of 
doi_str_mv 10.1007/s10120-020-01056-6
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Our aim in the present study was to identify biomarkers predicting benefit due to S-1 adjuvant chemotherapy using comprehensive gene expression analysis. Methods We retrospectively analyzed 102 patients receiving adjuvant chemotherapy with S-1 and 46 patients not receiving S-1 adjuvant chemotherapy after gastrectomy for gastric cancer treatment between January 2014 and December 2016. Hierarchical clustering analysis was performed based on the gene expression data obtained using cDNA microarray. Differentially expressed genes (DEGs) were identified using thresholds of absolute fold changes of &gt; 4.0 and a false discovery rate P value of &lt; 0.01. Gene Ontology (GO) analysis and GO network visualization were performed using the ClueGO app in Cytoscape. Results Hierarchical clustering analysis in patients treated with S-1 adjuvant chemotherapy revealed two clusters with favorable and unfavorable survival outcomes. We identified 147 upregulated DEGs and 192 downregulated DEGs in the favorable outcome group. GO analysis to identify significantly upregulated genes showed enrichment in immune-related genes and GO terms. Upregulation of these immune-related genes was not associated with survival in patients not receiving S-1 adjuvant chemotherapy. Conclusions The upregulation and enrichment of immune-related genes and GO terms may be predictive biomarkers in patients who would benefit from adjuvant S-1 chemotherapy to treat Stage II/III gastric cancer.</description><identifier>ISSN: 1436-3291</identifier><identifier>EISSN: 1436-3305</identifier><identifier>DOI: 10.1007/s10120-020-01056-6</identifier><identifier>PMID: 32185558</identifier><language>eng</language><publisher>Singapore: Springer Singapore</publisher><subject>Abdominal Surgery ; Biomarkers ; Cancer Research ; Cancer therapies ; Chemotherapy ; DNA microarrays ; Gastrectomy ; Gastric cancer ; Gastroenterology ; Gene expression ; Medicine ; Medicine &amp; Public Health ; Oncology ; Original Article ; Surgical Oncology ; Survival</subject><ispartof>Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association, 2020-07, Vol.23 (4), p.648-658</ispartof><rights>The International Gastric Cancer Association and The Japanese Gastric Cancer Association 2020</rights><rights>The International Gastric Cancer Association and The Japanese Gastric Cancer Association 2020.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c443t-9b58cd90e52bf83316a5f6882e41c1a3747de3ad42099fd30c59832ba0afc78b3</citedby><cites>FETCH-LOGICAL-c443t-9b58cd90e52bf83316a5f6882e41c1a3747de3ad42099fd30c59832ba0afc78b3</cites><orcidid>0000-0002-2967-8267</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32185558$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nakamura, Kenichi</creatorcontrib><creatorcontrib>Hatakeyama, Keiichi</creatorcontrib><creatorcontrib>Furukawa, Kenichiro</creatorcontrib><creatorcontrib>Fujiya, Keiichi</creatorcontrib><creatorcontrib>Kamiya, Satoshi</creatorcontrib><creatorcontrib>Hikage, Makoto</creatorcontrib><creatorcontrib>Tanizawa, Yutaka</creatorcontrib><creatorcontrib>Bando, Etsuro</creatorcontrib><creatorcontrib>Ohshima, Keiichi</creatorcontrib><creatorcontrib>Urakami, Kenichi</creatorcontrib><creatorcontrib>Machida, Nozomu</creatorcontrib><creatorcontrib>Yasui, Hirofumi</creatorcontrib><creatorcontrib>Yamaguchi, Ken</creatorcontrib><creatorcontrib>Terashima, Masanori</creatorcontrib><title>Prediction of S-1 adjuvant chemotherapy benefit in Stage II/III gastric cancer treatment based on comprehensive gene expression analysis</title><title>Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association</title><addtitle>Gastric Cancer</addtitle><addtitle>Gastric Cancer</addtitle><description>Background Studies to identify predictive biomarkers of adjuvant chemotherapy with S-1 after gastrectomy in Stage II/III gastric cancer patients have been done; however, more clarity and understanding are needed. Our aim in the present study was to identify biomarkers predicting benefit due to S-1 adjuvant chemotherapy using comprehensive gene expression analysis. Methods We retrospectively analyzed 102 patients receiving adjuvant chemotherapy with S-1 and 46 patients not receiving S-1 adjuvant chemotherapy after gastrectomy for gastric cancer treatment between January 2014 and December 2016. Hierarchical clustering analysis was performed based on the gene expression data obtained using cDNA microarray. Differentially expressed genes (DEGs) were identified using thresholds of absolute fold changes of &gt; 4.0 and a false discovery rate P value of &lt; 0.01. Gene Ontology (GO) analysis and GO network visualization were performed using the ClueGO app in Cytoscape. Results Hierarchical clustering analysis in patients treated with S-1 adjuvant chemotherapy revealed two clusters with favorable and unfavorable survival outcomes. We identified 147 upregulated DEGs and 192 downregulated DEGs in the favorable outcome group. GO analysis to identify significantly upregulated genes showed enrichment in immune-related genes and GO terms. Upregulation of these immune-related genes was not associated with survival in patients not receiving S-1 adjuvant chemotherapy. Conclusions The upregulation and enrichment of immune-related genes and GO terms may be predictive biomarkers in patients who would benefit from adjuvant S-1 chemotherapy to treat Stage II/III gastric cancer.</description><subject>Abdominal Surgery</subject><subject>Biomarkers</subject><subject>Cancer Research</subject><subject>Cancer therapies</subject><subject>Chemotherapy</subject><subject>DNA microarrays</subject><subject>Gastrectomy</subject><subject>Gastric cancer</subject><subject>Gastroenterology</subject><subject>Gene expression</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Surgical Oncology</subject><subject>Survival</subject><issn>1436-3291</issn><issn>1436-3305</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kc9u1DAQhy0EoqXwAhyQJS5cQv0nTpwjqqCNVAmkwjmaOJNdrzbO4nGq7hvw2DjaFiQOHEa27G--sfxj7K0UH6UQ9SVJIZUoxFpSmKqonrFzWeqq0FqY50971cgz9opoJ4Q0jaxesjOtpDXG2HP261vEwbvk58Dnkd8VksOwW-4hJO62OM1pixEOR95jwNEn7gO_S7BB3raXbdvyDVCK3nEHwWHkKSKkCXN3D4QDz1o3T4eIWwzk75FvsofjQz4hWodCgP2RPL1mL0bYE755XC_Yjy-fv1_dFLdfr9urT7eFK0udiqY31g2NQKP60WotKzBjZa3CUjoJui7rATUMpRJNMw5aONNYrXoQMLra9vqCfTh5D3H-uSClbvLkcL-HgPNCndK1tY01usro-3_Q3bzE_N5MldLkP6-MzZQ6US7ORBHH7hD9BPHYSdGtOXWnnDqx1ppTt6rfPaqXfsLhT8tTMBnQJ4DyVdhg_Dv7P9rfV46eaQ</recordid><startdate>20200701</startdate><enddate>20200701</enddate><creator>Nakamura, Kenichi</creator><creator>Hatakeyama, Keiichi</creator><creator>Furukawa, Kenichiro</creator><creator>Fujiya, Keiichi</creator><creator>Kamiya, Satoshi</creator><creator>Hikage, Makoto</creator><creator>Tanizawa, Yutaka</creator><creator>Bando, Etsuro</creator><creator>Ohshima, Keiichi</creator><creator>Urakami, Kenichi</creator><creator>Machida, Nozomu</creator><creator>Yasui, Hirofumi</creator><creator>Yamaguchi, Ken</creator><creator>Terashima, Masanori</creator><general>Springer Singapore</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2967-8267</orcidid></search><sort><creationdate>20200701</creationdate><title>Prediction of S-1 adjuvant chemotherapy benefit in Stage II/III gastric cancer treatment based on comprehensive gene expression analysis</title><author>Nakamura, Kenichi ; Hatakeyama, Keiichi ; Furukawa, Kenichiro ; Fujiya, Keiichi ; Kamiya, Satoshi ; Hikage, Makoto ; Tanizawa, Yutaka ; Bando, Etsuro ; Ohshima, Keiichi ; Urakami, Kenichi ; Machida, Nozomu ; Yasui, Hirofumi ; Yamaguchi, Ken ; Terashima, Masanori</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c443t-9b58cd90e52bf83316a5f6882e41c1a3747de3ad42099fd30c59832ba0afc78b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Abdominal Surgery</topic><topic>Biomarkers</topic><topic>Cancer Research</topic><topic>Cancer therapies</topic><topic>Chemotherapy</topic><topic>DNA microarrays</topic><topic>Gastrectomy</topic><topic>Gastric cancer</topic><topic>Gastroenterology</topic><topic>Gene expression</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Surgical Oncology</topic><topic>Survival</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nakamura, Kenichi</creatorcontrib><creatorcontrib>Hatakeyama, Keiichi</creatorcontrib><creatorcontrib>Furukawa, Kenichiro</creatorcontrib><creatorcontrib>Fujiya, Keiichi</creatorcontrib><creatorcontrib>Kamiya, Satoshi</creatorcontrib><creatorcontrib>Hikage, Makoto</creatorcontrib><creatorcontrib>Tanizawa, Yutaka</creatorcontrib><creatorcontrib>Bando, Etsuro</creatorcontrib><creatorcontrib>Ohshima, Keiichi</creatorcontrib><creatorcontrib>Urakami, Kenichi</creatorcontrib><creatorcontrib>Machida, Nozomu</creatorcontrib><creatorcontrib>Yasui, Hirofumi</creatorcontrib><creatorcontrib>Yamaguchi, Ken</creatorcontrib><creatorcontrib>Terashima, Masanori</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nakamura, Kenichi</au><au>Hatakeyama, Keiichi</au><au>Furukawa, Kenichiro</au><au>Fujiya, Keiichi</au><au>Kamiya, Satoshi</au><au>Hikage, Makoto</au><au>Tanizawa, Yutaka</au><au>Bando, Etsuro</au><au>Ohshima, Keiichi</au><au>Urakami, Kenichi</au><au>Machida, Nozomu</au><au>Yasui, Hirofumi</au><au>Yamaguchi, Ken</au><au>Terashima, Masanori</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prediction of S-1 adjuvant chemotherapy benefit in Stage II/III gastric cancer treatment based on comprehensive gene expression analysis</atitle><jtitle>Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association</jtitle><stitle>Gastric Cancer</stitle><addtitle>Gastric Cancer</addtitle><date>2020-07-01</date><risdate>2020</risdate><volume>23</volume><issue>4</issue><spage>648</spage><epage>658</epage><pages>648-658</pages><issn>1436-3291</issn><eissn>1436-3305</eissn><abstract>Background Studies to identify predictive biomarkers of adjuvant chemotherapy with S-1 after gastrectomy in Stage II/III gastric cancer patients have been done; however, more clarity and understanding are needed. Our aim in the present study was to identify biomarkers predicting benefit due to S-1 adjuvant chemotherapy using comprehensive gene expression analysis. Methods We retrospectively analyzed 102 patients receiving adjuvant chemotherapy with S-1 and 46 patients not receiving S-1 adjuvant chemotherapy after gastrectomy for gastric cancer treatment between January 2014 and December 2016. Hierarchical clustering analysis was performed based on the gene expression data obtained using cDNA microarray. Differentially expressed genes (DEGs) were identified using thresholds of absolute fold changes of &gt; 4.0 and a false discovery rate P value of &lt; 0.01. Gene Ontology (GO) analysis and GO network visualization were performed using the ClueGO app in Cytoscape. Results Hierarchical clustering analysis in patients treated with S-1 adjuvant chemotherapy revealed two clusters with favorable and unfavorable survival outcomes. We identified 147 upregulated DEGs and 192 downregulated DEGs in the favorable outcome group. GO analysis to identify significantly upregulated genes showed enrichment in immune-related genes and GO terms. Upregulation of these immune-related genes was not associated with survival in patients not receiving S-1 adjuvant chemotherapy. Conclusions The upregulation and enrichment of immune-related genes and GO terms may be predictive biomarkers in patients who would benefit from adjuvant S-1 chemotherapy to treat Stage II/III gastric cancer.</abstract><cop>Singapore</cop><pub>Springer Singapore</pub><pmid>32185558</pmid><doi>10.1007/s10120-020-01056-6</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-2967-8267</orcidid><oa>free_for_read</oa></addata></record>
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subjects Abdominal Surgery
Biomarkers
Cancer Research
Cancer therapies
Chemotherapy
DNA microarrays
Gastrectomy
Gastric cancer
Gastroenterology
Gene expression
Medicine
Medicine & Public Health
Oncology
Original Article
Surgical Oncology
Survival
title Prediction of S-1 adjuvant chemotherapy benefit in Stage II/III gastric cancer treatment based on comprehensive gene expression analysis
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